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Uniform Medical Plan

  2022 information2021 information

Video en español.

About Uniform Medical Plan (UMP), administered by Regence BlueShield

Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s School Employees Benefits Board (SEBB) Program. UMP is administered by Regence BlueShield and Washington State Rx Services.

UMP is ready to meet your health care needs with several affordable plan options. All plans pay for covered preventive services like annual checkups, and certain screenings and vaccines at no cost to you when you see a network provider.

When you choose a UMP plan, you get an active partner in your health care and a dedicated service team available to answer your questions quickly and help you make the most of your benefits.

2022 information

Webinars

UMP is hosting several webinars (through Zoom) during open enrollment. Live close captioning is available for all webinars, on demand*. 

Registration is required.

How do I register? 

Click the registration link for the webinar you wish to attend. After registering, you will receive a confirmation email containing information about joining the webinar.

Dates and times

UMP Plus–Puget Sound High Value Network
UMP Plus–UW Medicine Accountable Care Network

*Live captioning available: Communication Access Real-time Transcription (CART) services, or live closed captioning, are available for these events, on demand. Scheduling CART services requires a two to three week lead-time. To request this accommodation, please submit a request to Janice Knutz as soon as possible. If you make your request less than a week in advance of the event, our language access manager cannot guarantee that a CART writer will be available.

UMP Plus webinars will be recorded and made available a few days after the event on each plan's website.

Plan details

UMP Achieve 1 uses Regence BlueShield’s largest network of providers. The plan offers a lower monthly premium than UMP Achieve 2 and UMP Plus, but has a higher coinsurance (the amount you pay your provider) than other UMP plans. For most services, you can see a specialist without a referral. With UMP Achieve 1, you pay $0 for covered preventive care when you see a network provider. UMP Achieve 1 also covers the full cost of certain programs to quit smoking or manage diabetes. You will also have 24/7 access to on-demand virtual care. For prescription drugs, once the prescription drug deductible is met, you will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier. For Value Tier and Tier 1 prescription drugs, the deductible is waived.

Coverage documentation 

UMP Achieve 2 uses Regence BlueShield’s largest network of providers, but has a lower deductible than UMP Achieve 1 and UMP High Deductible. For most services, you can see a specialist without a referral. With UMP Achieve 2, you pay $0 for covered preventive care when you see a network provider. UMP Achieve 2 also covers the full cost of certain programs to quit smoking or manage diabetes. You will also have 24/7 access to on-demand virtual care. For prescription drugs, once the prescription drug deductible is met, you will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier. For Value Tier and Tier 1 prescription drugs, the deductible is waived.

Coverage documentation

UMP High deductible uses Regence BlueShield’s largest network of providers. UMP High Deductible covers the same services as UMP Achieve 2, but has a lower monthly premium and a higher deductible. When you enroll in UMP High Deductible, you are automatically enrolled in a health savings account (HSA) through our HSA partner HealthEquity who manages the account. This allows you to set aside pre-tax money to pay for qualified medical expenses, including prescription drugs and more.  You will also have 24/7 access to on-demand virtual care. For most prescription drugs, you will pay 15% coinsurance at a network pharmacy after you have met your deductible.

Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. The State of Washington contributes annually to the account on an individual or family basis. Once the money is in your account, it’s yours, and there is no deadline to use it. With UMP High Deductible, you pay $0 for covered preventive care services when you see a network provider. For most services, you can see a specialist without a referral.

You will also have 24/7 access to on-demand virtual care. For most prescription drugs, you will pay 15% coinsurance at a network pharmacy after you have met your deductible.

Coverage documentation

UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. The UMP Plus–PSHVN network is a limited network compared to UMP Achieve 1, UMP Achieve 2, and UMP High Deductible. To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, or Yakima county. UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. For most services, you can see a specialist without a referral, and you pay $0 for covered preventive care services when you see a network provider. Visit the UMP Plus–PSHVN website to learn more about the network. For prescription drugs, you will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier.

Coverage documentation

UMP Plus–UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. The UMP Plus–UW Medicine ACN network is a limited network compared to UMP Achieve 1, UMP Achieve 2, and UMP High Deductible. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. For most services, you can see a specialist without a referral, and you pay $0 for covered preventive care services when you see a network provider. Visit the UMP Plus–UW Medicine ACN website to learn more about the network. For prescription drugs, you will pay a coinsurance amount at a network pharmacy, which is determined by the drug’s tier.

Coverage documentation

2021 information

Webinars 

UMP Achieve 1, UMP Achieve 2, UMP High Deductible
UMP Plus–Puget Sound High Value Network
UMP Plus–UW Medicine Accountable Care Network

Plan details

UMP Achieve 1 uses Regence BlueShield’s largest network of providers. The plan offers a lower monthly premium than UMP Achieve 2 and UMP Plus, but has a higher coinsurance (the amount you pay your provider) than other UMP plans. For most services, you can see a specialist without a referral. With UMP Achieve 1, you pay $0 for covered preventive care when you see a network provider. UMP Achieve 1 also covers the full cost of certain programs to quit smoking or manage diabetes. You will also have 24/7 access to on-demand virtual care. 

Coverage documentation

UMP Achieve 2 uses Regence BlueShield’s largest network of providers, but has a lower deductible than UMP Achieve 1 and UMP High Deductible. For most services, you can see a specialist without a referral. With UMP Achieve 2, you pay $0 for covered preventive care when you see a network provider. UMP Achieve 2 also covers the full cost of certain programs to quit smoking or manage diabetes. You will also have 24/7 access to on-demand virtual care.

Coverage documentation

UMP High deductible uses Regence BlueShield’s largest network of providers. UMP High Deductible covers the same services as UMP Achieve 2, but has a lower monthly premium and a higher deductible. With UMP High Deductible, you pay $0 for covered preventive care services when you see a network provider. For most services, you can see a specialist without a referral. You will also have 24/7 access to on-demand virtual care.

When you enroll in UMP High Deductible, you are automatically enrolled in a health savings account (HSA) through our HSA partner HealthEquity who manages the account. This allows you to set aside pretax money to pay for qualified medical expenses, including prescription drugs and more.

Visit HealthEquity or watch their recorded webinar to discover the many uses for your HSA. The State of Washington contributes annually to the account on an individual or family basis. Once the money is in your account, it’s yours, and there is no deadline to use it.

Coverage documentation

UMP Plus–PSHVN is a network of providers offering high quality, coordinated care at a lower cost. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. The UMP Plus–PSHVN network is a limited network compared to UMP Achieve 1, UMP Achieve 2, and UMP High Deductible. To enroll in this plan, you must live in Chelan, Douglas, King, Kitsap, Pierce, Snohomish, Thurston, or Yakima county. UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. For most services, you can see a specialist without a referral, and you pay $0 for covered preventive care services when you see a network provider. Visit the UMP Plus–PSHVN website to learn more about the network.

Coverage documentation

UMP Plus–UW Medicine ACN is a network of providers offering high quality, coordinated care at a lower cost. You pay $0 for office visits with network primary care providers, including pediatricians, and there is no prescription drug deductible. The UMP Plus–UW Medicine ACN network is a limited network compared to UMP Achieve 1, UMP Achieve 2, and UMP High Deductible. To enroll in this plan, you must live in King, Kitsap, Pierce, Skagit, Snohomish, Spokane, or Thurston county. UMP Plus has a lower deductible and monthly premium than UMP Achieve 2 while offering most of the same benefits. For most services, you can see a specialist without a referral, and you pay $0 for covered preventive care services when you see a network provider. Visit the UMP Plus–UW Medicine ACN website to learn more about the network.

Coverage documentation

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Contact information

UMP Customer Service

Phone: 1-800-628-3481
TRS: 711
Monday through Friday
5 a.m. to 8 p.m. (Pacific)
Saturday 8 a.m. to 4:30 p.m. (Pacific)

Washington State Rx Services Customer Service

Phone: 1-888-361-1611
TRS: 711
Monday through Friday
7:30 a.m. to 5:30 p.m. (Pacific)
Available outside these hours with limited services.

Visit UMP's website